> **Net effect:** Approximately a **4‑5 %** increase in testosterone activity and a similar improvement in muscle anabolic signaling, translating into better recovery and potential for increased lean mass over time.
---
## 3. Practical Implementation
| Step | Action | Tips | |------|--------|------| | 1 | **Baseline Testing** | Blood draw (fasted, morning) to measure total/free T, SHBG, LH/FSH, DHEA‑S, prolactin, IGF‑1, cortisol. | | 2 | **Identify Deficiencies** | Low free T (100 nmol/L), low IGF‑1 or DHEA‑S may indicate need for supplementation. | | 3 | **Choose Supplementation Strategy** | • If SHBG high → consider zinc, magnesium, selenium. • If IGF‑1 low → low‑dose insulin analogue (e.g., Lantus 5 U at bedtime). • If DHEA‑S low → testosterone undecanoate 250–500 mg weekly. | | 4 | **Set Dosages** | • Zinc: 50 mg elemental daily. • Magnesium: 400 mg daily (Mg‑O). • Selenium: 200 µg daily. • Insulin analogue: start 5 U; adjust to 10–20 U if needed, monitoring fasting glucose. • Testosterone undecanoate: 250 mg weekly; monitor PSA and hemoglobin. | | 5 | **Monitoring** | • Blood tests every 3 months for testosterone, LH/FSH, estradiol, CBC, PSA. • Glucose/HbA1c monthly if insulin used. • Watch for fluid retention or edema. | | 6 | **Lifestyle** | • Maintain moderate exercise; avoid excessive alcohol which can worsen liver function and hormone balance. • Balanced diet low in saturated fats to support liver health. |
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## Summary
- **Caffeine (in coffee)** does not lower testosterone and is unlikely to reduce libido or erectile function. - **Moderate coffee consumption** (3–4 cups/day) can provide antioxidant, metabolic benefits without adverse hormonal effects. - The major concern with high caffeine intake is potential sleep disturbance, which may indirectly affect sexual health. - For men with low testosterone, the best strategy is to focus on overall health: adequate sleep, exercise, balanced diet, and medical management when needed—rather than restricting coffee.
Feel free to let me know if you’d like deeper dives into any specific point or additional guidance!
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